Re: Morbidly obese and skin care Originally Posted by rdop5388
I am at a loss. One of my residents skin keeps breaking down. Under her belly roll, buttocks, arms. Could someone give advice on what to put under the belly when the skin starts bleeding. I have tried powder, selan cream and then putting a sheet or towel under the roll. Her bottom is breaking down also and I spray it with granulex while toileting her. She can not turn on her side in bed as the bed is not wide enough. So when in bed she lays flat with her head elevated. Any advise would help. Thanks.
How unfortunate.
Is the rash and breakdown consistent with candida? If you are not familiar with what that looks like, either collaborate with a colleague or bing it (candida rash + image).
Sounds like she needs a different bed (bariatric preferrably) and a low pressure mattress. This woman is totally bedridden and dependent? As you likely already know, moisture, immobility, pressure, and friction are her (and your) enemies. Frequent intervention designed to keep her clean, dry, and off the pressure points would be my focus along with whatever pharmacologic treatment is indicated.
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